Summary
Overview
Work History
Education
Skills
Timeline
Generic

Shuanteika Summons

Sherwood,AR

Summary

Detail-oriented professional skilled in claims resolution, billing inquiries, and effective communication. Proven ability to manage high-volume calls and resolve complex disputes, enhancing customer satisfaction.

Overview

6
6
years of professional experience

Work History

Customer Service Representative

Sutter health
Salt Lake City, Utah
10.2024 - Current

Communicated with clients to gather additional information for claims resolution.

  • Assisted customers with billing inquiries and resolved account discrepancies.
  • Handled customer inquiries and complaints regarding billing issues via telephone, email, and other communication channels.
  • Managed high-volume calls, ensuring professional demeanor and consistent service quality.
  • Resolved complex billing disputes promptly, enhancing customer satisfaction.
  • Calculated premiums and established payment methods, receiving customer payments and issuing receipts.
  • Processed payments and maintained accurate billing records in the system.
  • Processed bill adjustments and issued refunds to effectively address customer service and billing complaints.
  • Coordinated with patients regarding payment plans and outstanding balances.
  • Utilized CRM software to manage client information and interactions effectively.
  • Educated customers on the importance of maintaining adequate insurance coverage.
  • Reviewed customer account records to ensure accuracy of all data entered into the system.
  • Analyzed billing reports to identify trends and errors in submissions.
  • Communicated with healthcare providers to clarify billing discrepancies.
  • Processed coding and billing documents for accurate patient accounts.
  • Conducted coding and audit reviews to ensure billing accuracy.
  • Reviewed insurance claims for compliance with healthcare regulations.
  • Followed established guidelines while handling confidential information related to customer accounts.
  • Updated customer information in the database to ensure accurate records management.
  • Actively monitored incoming calls, emails, chats for billing-related questions, inquiries from customers.
  • Utilized electronic health record systems to maintain patient information.
  • Updated databases with new and modified customer data.
  • Updated databases with new and modified customer data.

Front Desk Receptionist

Arkansas Pain Centers
North Little Rock, Arkansas
08.2021 - 12.2021
  • Greeted patients warmly and ensured a welcoming atmosphere.
  • Coordinated appointment scheduling, ensuring timely access to care and maintaining accurate patient records.
  • Answered phone calls promptly and addressed patient inquiries professionally.
  • Facilitated communication between patients and medical staff, enhancing patient experience and satisfaction.
  • Processed patient intake forms and verified insurance information to streamline check-in process.
  • Provided support during patient check-in and check-out procedures smoothly.
  • Answered incoming calls, redirected callers to the appropriate personnel or department, and took messages.
  • Completed basic bookkeeping and document filing.
  • Managed incoming and outgoing mail, courier services, faxes and other correspondence.

Customer Service Representative

Southeastrans
Little Rock, Arkansas
11.2020 - 08.2021
  • Resolved customer issues through timely, effective solutions, enhancing satisfaction.
  • Answered customer inquiries, providing accurate product and service information, ensuring clarity.
  • Handled incoming calls, directing them to appropriate resources for efficient service.
  • Assisted customers with transportation scheduling and inquiries.
  • Maintained accurate records of customer interactions in the system.

Education

High School Diploma -

Jacksonville High School
Jacksonville, AR
05-2011

Skills

  • Claims resolution
  • Billing inquiries
  • Payment processing
  • Insurance verification
  • Customer relationship management
  • Member account management
  • billing support
  • CRM software
  • Data management
  • time management
  • Decision-making
  • effective communication
  • attention to detail
  • attention to detail

Timeline

Customer Service Representative

Sutter health
10.2024 - Current

Front Desk Receptionist

Arkansas Pain Centers
08.2021 - 12.2021

Customer Service Representative

Southeastrans
11.2020 - 08.2021

High School Diploma -

Jacksonville High School
Shuanteika Summons